• 제목/요약/키워드: Health concept

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의료시스템과학의 개념과 교육 필요성 고찰 (The Concept of Health Systems Science and Educational Needs in the Korean Context)

  • 양은배;이단비;이종태
    • 의학교육논단
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    • 제25권3호
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    • pp.192-197
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    • 2023
  • Physicians should be able to address health-related issues of patients and populations from a multidimensional perspective. Therefore, medical schools have a social responsibility to develop and implement curricula that enable trainees to acquire the competencies needed to improve all aspects of patient care and healthcare delivery. This study explored the concept of health systems science concept as the third pillar of medical education (the other two are basic science and clinical medicine) in the Korean context, as well as related educational needs. The theoretical foundation of health systems science is the biopsychosocial conceptual model, which emphasizes the biological, psychological, and social factors surrounding patients. We concluded that the three domains (core functional, foundational, linking) and 12 subcategories of health systems science proposed by the Association of American Medical Colleges could be applied to Korean medical education. Health systems science education must be emphasized to solve the various healthcare problems facing Korea today and to train physicians to provide medical services in line with society's needs. Introducing a health systems science curriculum will be challenging in the Korean medical environment, which has traditionally emphasized basic science and clinical medical education. Health systems science education should begin in the basic medical education phase, where physicians' professional identity is formed, and continue through graduate medical education. It is essential to understand related educational needs, develop curricular content, conduct faculty development programs, and provide financial resources for the development of an integrated curriculum.

여성건강을 위한 개념적 모형 (Conceptual Model for Women s Health)

  • 이경혜
    • 대한간호학회지
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    • 제27권4호
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    • pp.933-942
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    • 1997
  • There has recently been an increased interest in women's health from, various disciplines, with different perspectives presented according to each profession's academic background. This has led to many instances of incorrectly defining, or misinterpretation, of the issues even among professionals. Nurse scholars as well as practitioners who work in women's health care need to have a clear conceptual understanding of women's health in order to build a body of knowledge, delineate curricular activities, and set directions for professional nursing interventions. In addition, a conceptual model that may be directly utilized in practice is needed to maintain and promote women's health issues. The purpose of this study was to apply a Hybrid model, analyzing conceptual definitions and discussions related to women's health gathered from review of the literature. Further to compare analyticals the concepts and properties observed from field work, so as to present a final definition of women's health and, build a conceptual framework for a united comprehensive perspective on the concept as well as on nursing practice. Data collection and analysis consisted of a theoretical stage, field work stage, and final analysis. A heterogeneous group of professionals and lay persons, 39 in all, participated in the field work. Study findings Include several subconcepts under the concept of women's health : a woman's whole life, holistic health, quality of life, awareness of being a woman, individual nursing, self care ability, reproductive health, and family health. Thus, a comprehensive definition was built, 1. e., "Women's health care be defined as improvement in the quality of life of women through attainment of holistic health throughout the life span. With reproductive health at the core, the concept is directly related to family and national health, and includes taking care of one's own health based on awareness of being a woman and utilizing self care activities. Women's health care issues are unique and allow various responses, therefore women's health professionals need to apply individual approaches to reach solutions in attaining holistic health and improving quality of life." The constructual factors of women's health were found to be reproductive functions, diseases more common in woman, self actualization, mental health, women's health policies, sexuality, midlife changes, and marital relations, with each factor having more than three properties. Positive factors affecting women's health were found to be a normal childbearing process, a healthy lifestyle, active health management, health information, support, and resources, and interpersonal relationships. Negative factors were found to be overwhelming role stress, cultural oppression, gender inequality, distorted sexual identity, economic difficulties, misuse and/or abuse of substances, and stress. The model of women's health may be visualized as a balance scale set upon a woman's life, supporting 4 concentric circles. The innermost circle and second circle incorporate conceptual definitions of women's health, and the outer two circles represent the constructional factors and properties of women's health. Each circle has its own color that symbolizes the conceptual meaning. Positive and negative factors are represented as weights at either end of the scale, and are affected by nursing intervention, i. e., health and wellness increase when positive factors are stronger, whereas disease and illness increase when negative factors are stronger. This model is only a preliminary effort and requires much discussion and testing to be further developed. Continuous research is also required.

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임상간호사의 전문직 자아개념 (A Study of the Professional Self Concept of Clinical Nurses)

  • 김현미;황미혜;전성주;장군자
    • 지역사회간호학회지
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    • 제8권2호
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    • pp.327-336
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    • 1997
  • The major purpose of this study was to survey the professional self concept of clinical nurses. The subjects consisted of 894 nurses who are working at 10 general hospital in Daegu, Pusan, and Kyungsang-do. The nurses were surveyed from November 22, 1996 to March 7, 1997. The data were analyzed using an SPSS/PC program. The results were as follows: 1. The average score of PSCNI was 72.11 points. And average item score was 2.67 points, this score means mid level in professional self concept. 2. A comparison of the scores for the dimensions of the PSCNI were as follows: the mean item score of professional practice, 2.76 points; satisfaction, 2.39 points; communication, 2.83 points. Thus, the score for communication was highest. 3. The relationship between general characteristics and the PSCNI showed a significant difference in regard to age(P=.000), religion (P=.012), educational level(P=.001), marital status(P=.000), period of nursing career(P=.000) and position(P=.002). But, there were no significant differences with regard to the field of work. In conclusion, this study suggests that we need to develop a program for improving professional self concept of clinical nurses.

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간호리더십에 대한 개념 분석 (Concept Analysis of Nursing Leadership)

  • 김정숙;김윤민;장금성;김복남;정석희
    • 간호행정학회지
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    • 제21권5호
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    • pp.575-586
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    • 2015
  • Purpose: The purpose of this study was to provide a concept analysis of nursing leadership. Methods: The concept analysis process of Walker and Avant (2011) was used. A review of the literature was conducted using several databases, including PubMed, CINAHL, Ovid-Medline, DBpia, and KISS. The databases were searched using the following terms 'nursing leadership', 'nursing' & 'leadership', and 'nurse & 'leadership', and for studies published from January 2000 to March 2015. Strict inclusion and exclusion criteria were applied. Results: Analysis of these studies indicated nursing leadership attributes were individual growth, collaboration, nursing excellence, creative problem solving, and influence. The antecedents of nursing leadership were the individual maturity level, construction of mutual trust and confidential relationships, and a job requirement. The consequences were improvement in nursing productivity, development of a supportive work environment, and satisfaction with the nursing profession. Conclusion: The findings in this study provide a definite concept of nursing leadership. The findings also provide the theoretical evidence for the development of nursing leadership competencies in nursing students and professional nurses.

초등학생의 인터넷 중독 정도와 성격, 가족 체계, 학업적 자아 개념과의 관련성 (Associations among Internet Addiction, Personality, Characteristics of Family System, and Learned Self-Concept in Elementary School Students)

  • 김명희;김명숙
    • 보건교육건강증진학회지
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    • 제26권2호
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    • pp.63-73
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    • 2009
  • Objectives: The purpose of this study was to identify the degree of internet addiction and factors affecting internet addiction in elementary school students. Methods: A cross-sectional survey design was employed in this study. The subjects were 378 students who were recruited from 5th and 6th grade in five elementary schools in J city, Korea. Data were collected through a structured questionnaire. The data were analyzed using the SPSS Win 10.1 program. Results: Of the children, 51.9% reported being average online users, 45.5%, heavy online users, and 2.6%, internet addicted. The level of internet addiction of subjects correlated significantly with the behavioral activation system, behavioral inhibition system, family cohesion, and learned self-concept, but not family adaptability. Significant predictors influencing internet addiction were the behavioral activation system, learned self-concept, and family cohesion. These predictors accounted for 22% of variance in internet addiction. Conclusion: This study found that the behavioral activation system in personality aspects, family cohesion in the family system, and learned self-concept are primary factors that explain internet addiction among elementary students. We suggest these results be used to develop an online addiction prevention or treatment program.

일개 상급종합병원 간호사의 공감역량, 전문직 자아개념 및 간호근무환경이 돌봄 행위에 미치는 영향 (Effects of Compassion Competence, Professional Self-concept, and Nursing Practice Environment on Caring Behaviors of Clinical Nurses in a Tertiary Hospital)

  • 안영미;장금성;박현영
    • 보건의료산업학회지
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    • 제12권4호
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    • pp.17-30
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    • 2018
  • Objectives: This study aimed to examine the effects of compassion competence, professional self-concept and nursing practice environment on caring behaviors of clinical nurses. Methods: A convenience sample of 200 nurses was drawn from a tertiary hospital in G city. Structured self-report questionnaires were used to collect data, which were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: A significant difference in caring behaviors of nurses was found for age, educational level, and unit. There were statistically significant positive correlations between study variables. Sensitivity and communication of compassion competence, communication of professional self-concept, and nursing foundations for quality of care in nursing practice environment were significant predictors of caring behaviors, explaining 51.3% of total variance. Conclusions: To improve clinical nurses' caring behaviors, strategies must be developed and implemented for enhancing their compassion competence, professional self-concept, and nursing practice environment.

경력단절 후 재취업한 간호사의 전문직 자아개념, 자아탄력성, 직무 스트레스가 업무수행능력에 미치는 영향 (Influence of Professional Self-concept, Ego-resilience, and Job Stress on Job Performance of Nurses who are Reemployed after Career Interruption)

  • 김영은;이용미
    • 한국직업건강간호학회지
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    • 제30권2호
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    • pp.57-67
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    • 2021
  • Purpose: This study was conducted to investigate the influence of professional self-concept, ego-resilience, and job stress on job performance in reemployed nurses after career interruption. Methods: The participants were 207 nurses who worked at hospitals with more than 100 beds located in Seoul, Gyeonggi and Gangwon provinces. The nurses had experienced a career interruption of at least one year, and had less than five years of experience at the current workplace. The collected data were analyzed utilizing SPSS 24.0 program and using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression. Results: The participants' job performance, professional self-concepts, ego-resilience, and job stress showed significant positive correlations. It was found that the professional self-concept, ego-resilience, and job stress had an effect on the participant's job performance in order, and explained 51.3% of variance in job performance. Conclusion: To improve the job performance of career disconnected nurses, it is necessary to reinforce job stress control, professional self-concept, and level of ego-resilience.

권역외상센터 간호사의 근거기반실무역량, 셀프리더십, 조직몰입이 전문직 자아개념에 미치는 영향 (The Effects of Evidence-Based Practice Competency, Self-leadership, Organizational Commitment on the Professional Self-concept of Trauma Nurses)

  • 조옥희;윤정은;최지나
    • 가정∙방문간호학회지
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    • 제29권1호
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    • pp.31-39
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    • 2022
  • Purpose: This study investigated the effects of evidence-based practice competency, self-leadership, and organizational commitment on professional self-concept of nurses in regional trauma centers. Methods: The 98 research participants were nurses with clinical experience of a year or more. Descriptive statistics, t-tests, Mann-Whitney U test, ANOVA, and Pearson's correlation coefficients were computed, and multiple regression analysis was conducted. Results: Professional self-concept showed statistically significant differences according to marital status, religion, and educational background, and was positively correlated with and affected by evidence-based practice competency, self-leadership, and organizational commitment. Conclusion: Trauma nursing education programs should include evidence-based practice competency and self-leadership and organizational support should be provided to improve the professional self-concept of nurses in regional trauma centers.

전담간호사의 역할갈등과 전문직 자아개념이 직무만족에 미치는 영향 (Influence of Role Conflict and Professional Self-Concept on Job Satisfaction of Physician Assistant Nurses)

  • 이은수;김세영
    • 한국직업건강간호학회지
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    • 제31권4호
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    • pp.198-206
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    • 2022
  • Purpose: This study is investigate the role conflict, professional self-concept, and job satisfaction degree of the physician assistant nurses, and to grasp the factors affecting job satisfaction. Methods: Data were collected from September to October, 2018 and 156 physician assistant nurses working at one certified tertiary hospital, four general hospitals, using self-report questionnaires. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient and stepwise multiple regression. Results: The degree of job satisfaction of the subject was 2.76 out of 5. The influential factors in the job satisfaction of the subjects were professional self-concept (β=.51, p<.001), and role conflict (β=-.29, p<.001), affected job satisfaction by 53.5%. Conclusion: In order to improve the job satisfaction of physician assistant nurses, the role conflict should be solved and a plan to form a positive self-concept should be sought. Therefore, through the identification of the roles that are appropriate to the situation in Korea and the legal and institutional positioning, they will need to be recognized and developed.

Using Sustainable Agriculture to Improve Human Nutrition and Health

  • Cullum, Christine-Mc
    • Journal of Community Nutrition
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    • 제6권1호
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    • pp.18-25
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    • 2004
  • The purpose of this article is twofold: 1) to provide nutrition professionals with the history of how the concept of sustainable diets was introduced to the nutrition profession and 2) to describe how different sustainable agricultural practices offer potential for improving human nutrition and health. The idea of connecting sustainable agriculture With the promotion of human nutrition and health is not new. It is a concept that was introduced to the nutrition profession more than 20 years ago. To foster healthful, sustainable diets, consumers need to choose more whole foods. From the standpoint of nutrition and health, whole foods are naturally higher in fiber and lower in fat, sodium, sugar and additives compared to highly processed foods. From the standpoint of agricultural sustainability, whole foods bypass the high-energy costs of food processing and transportation. Organic farming systems offer potential benefits to human health through reducing farmers' exposure to pesticides and by increasing the total phenolic content in selected food crops. Participation in farmers' market nutrition programs and gardening has been associated with increased fruit and vegetable intake. Gardening may also be a way to increase access to fresh produce in low-income populations that do not have access to nutritious food outlets and to increase physical activity. Further research is needed to assess the human nutrition and health benefits of other types of sustainable agriculture strategies and to investigate the links among different agricultural practices with nutrient and total phenolic content in a wider variety of important food crops.